The GOP package includes tax reductions, Medicaid cuts and changes to student loans.

Senate Republicans restored major Medicaid cuts to Donald Trump’s signature economic legislation, re-fashioning a key provision to overcome a procedural obstacle.Spending cuts to the health insurance program for the poor and disabled partially offset revenue losses from tax cuts in the measure and are a crucial demand of GOP fiscal conservatives.

The Senate Republican tax bill speeding to passage includes the biggest reduction of funding for the federal safety net since at least the 1990s.